Laura, I started as an LLLL who eventually had a private practice. I know my notes were longer then. I had an office nurse tell me she enjoyed reading my notes because she learned so much...But I've never had a physician tell me that. We have a new pediatrician (new to us) who offhandedly said the other day that their EHR system was terrible, they could only see 4 patients an hour instead of 5. This is a wonderful breastfeeding-loving practice...they are so stressed. They are there long after office hours, a lot. My take these days (after 15 years of writing notes in the hospital) is to write what I see, but not editorialize or teach in the notes. If I'm wearing my detective hat, it may have more, because I want to remind myself and the provider why I went down the road I chose for my "assessment" - do IBCLCs diagnose? I'm used to the medical v nursing model so I "don't diagnose" LOL! You might want to ask a doctor if they ever read your notes.I'd bet they glance at it...if you're lucky. Dawn Kersula RN, IBCLC and other initials too, very happily practicing in Brattleboro, VT Who once had an OB ask, "Why are there only lactation notes in this mother's chart? Doesn't anybody else ever look at these moms?' *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome